Application for the Permission for Construction & Use of Approaches/Access Road for NOC for Access

UT Teta TST UTferaA TOT (ase URaet sit terart dares, VT Gra ) NATIONAL HIGHWAYS AUTHORITY OF INDIA (Ministry of Road Transport and Highways, Govt. of India) asia rater / REGIONAL OFFICE aaa $-2/167, 3RU Hiei, gelariat Wea VT HUG, UtoTeT (AW. ) 462016 BHARATMALA E-2/167, Arera Colony, Near Habibganj Railway Station, Bhopal (M.P,) 462016 ROAD TO PROSPERITY @XUTH/Phone : 0755-2426638, thee /Fax : 0755-2426698, $-Net/E-mail : [email protected] NHAI/RO-MP/PIU-UJJAIN/NH-552G /Outlet/2020/ 4) Sol Date: 21.12.2020 To, : oy The Authorized Signatory M/s Hindustan Petroleum Corporation Limited Regional Office, Gautam Nagar Post Box no. 705 Govindpura, Bhopal (MP) j Sub: — Application for the Permission for construction & use of approaches/access road for NOC for access permission to the proposed fuel station of M/s Hindustan Petroleum, Corporation Limited on NH-552G (Old SH-27) In Km. 182., Ch. 181.050, LHS at Village- Soyat Kalan, Tehsil Susner, District Agar Malwa in state of Madhya Pradesh-Issuance of Provisional Permission for Access-Reg } Ref: (i) M/s HPCL, Bhopal letter dated 15.12.2020 (ii) Bank of India e-mail dated 14.12.2020, (iii) Applicant's email dated 14.12.2020 (iv) This office letter no. 41226 dated 03.12.2020. (v) PD, PIU-Ujjain letter no, 1233 dated 01.10.2020. Sir, Please refer above mentioned letters on the uubject captioned proposal. 2. As certified by your office, DPR Consultant of the project & Project Director, PIU-Ujjain, NHAI that the proposal fulfills all the conditions/norms of Ministry's circular no. RW-NH-33032/01/201 7-S&R(R) dated 26.06.2020. The Competent Authority has approved the proposal “In-principle” and “Provisional Permission for Access” is issued in accordance with Ministry's guidelines dated 26.06.2020 issued by MoRT&H under provision of section 28 & 29 (Chapter IV) and Section 38 (Chapter VI) of Control of National Highway (Land & Traffic) Act, 2002 subject to following conditions: (a) Oil company/owner shall be responsible for the construction and maintenance of deceleration/acceleration lanes, channelizers, drainage arrangement, drinking water and toilet facilities, signs and markings in accordance with the approved layout specifications conforming to these norms, at his own cost. The cross-sections, layout and separator island shall be ensured as indicated in the drawing with red ink. It is clarified here that there shall be restriction to diversion of land upto 30m from centerline of existing Road. (b) As per the approved layout the Toilet Unit shall be provided at a standalone location within the Retail Outlet premises duly equipped with lighting, Water and requisite cleaning accessories etc. A separate access to all road users of National Highways with traffic Signages for availability of toilet facility on NH may be provided and are kept open round the clock. (c) The drinking water and toilet facilities shall be accessible to the public round the clock. In order to inform the public about these, a display board showing availability of such facilities shall be installed before the entry to the Fuel Station. (d) The Oil Company will remove/shift the trees and utilities, if existing, at its own cost on the proposed site & access road after taking the prior approval of Competent Authority as per prevailing rules & norms. {e) The Oil Company/Owner may construct the Fuel Station along with its access as per approved drawings at their own cost within 12 months of the issue of Provisional Permission of Access. Highway Administration may grant 1year tine extension to the validity of Provisional permission for access based on justification for dela, submitted by applicant. After the construction as per approved drawings and within the allowed time for construction the applicant may apply for issue of final permission for access. The final approval shall be granted by Highway Administration after the comments of the Proposing Authority confirming the satisfactory completion of construction of retail outlet as per approved drawings and License deed may be signed by the Competent Authority (i.e. Highway Administration). a var arate ; sit 5 we 6, Bact 10 greenT, Ag feeci-110075 gears : 91-11-2507 4100/2507 4200 aaage : ritteAwaRunneLera Corporate Office : G-5 & 6, Sector-10, New Delhi-110075 Phone: 91-11-2507 4100/2507 4200 Website : http:\\www.nhai.org err TST YTtETeh LUT Ng

Station is energized without Deed, necessary Seeking Final action may 4pproval (Final dated 26.06.2020 be initiated NOC) and before and Control against the Signing of National Applicant 48 of the License (g) Highway per MoRTH The fees (Land 8 Traffic) Policy Guideline of Rs, 20,000/. Act, 2002, i has been ce including but deposited vide not ha Ref No, 0912200009924 dated 09.12.2029 and

(h) The License Deed will be Processed after Submission and verification of (i) License Fee and In case the Sitting realization irf of Proposed Retail Outlet is .06.2020 not found in accordance with the (i) The i RW-NH-33032/01/2017. Highway Administration issi from the always feserves Prescribed/approyeq the right il is observed norms after to carry out inspection : during inspection signing of the for checking Such default/ Of the Highway License Deed. any deviations deviation to Or otherwise Wherever any within a the concerned by the field default/ deviation periog of 60 party, advising/ level, Such Would days, Failure instructing officer Shall lead to de-energization to rectify the him to rectify point out Such Of identifieg deficiencies such deviation/defauit fuel Station/property the fue] Station Within complete to the by the Concerned the Prescribed rectification Highway Shall Oj Company time Highway at the cost be Cut-off. The and Administration, of the defaulting ACCESS Would access of Authority In such Party and he restored Who Cases, @Ppropriate on the authorization only upan certifieg the action by Completion of shall also the authorized ACCESS as per be taken against approved drawings, the Proposing

PTT 1. The ew Regional Officer (Anand Prasad) find (MoRT&H), enclosed herewith 2"9 floor, Nirman Manager (T) dated the f€ceipt Bhawan, Atera 09,12,2020 the fees of Rs. Hills, Bhopal-462004. and license 20,000/- has fee of Rs been depositeg Please ind i 2,50,000/. vide Ref i @. has been deposited No, 0912200009924 vide 1512200004697 dated The Project Director, NHAI, along with PIU-Ujjain (MP)-Please the Original BG find 4. e-mail: Mansoor@nic No, 9551IPEBG2co999 enclosed herewith in for dated the approved necessary record, 14.12.2020, layout and drawing

\\www.nhai.org 4 fe-qreanm Gerferaa wraRrenr fares HP (ARG BRAG a Gawy ) xfores aif 247, sprVveon eres Ws, tfas-400 020 INZ HINDUSTAN PETROLEUM CORPORATION LTD. (A GOVT. OF INDIA ENTERPRISE) REGISTERED OFFICE :17, JAMSHEDJI TATA ROAD, MUMBAI.400020 | ie

et AA peo a, WTA TR, Wee ara a, 705, atfascq, wyute- 462023 fad wr L23201MH19682GOl1008858 "ole : (0755) 4270797, 2585994, aI HIPETOFF Weal (0755) 2789904 daig2 » www hindustanpetroleum.com BHOPAL REGIONAL OFFICE, GAUTAM NAGAR, POST BOX NO. 705, GOVINDPURA, BHOPAL-23 CiN No.’ L23201MH1952GO1008058 Telephone 0755) 4270737, 2585994 Teleqram : HIPETOFF Fax : (0755) 276990 WaPsito www. hindustanpetroleum.com

HPCL/NH-552G(OLD SH-27)/181/2020 Date-15.19.2020

To, THE HIGHWAY ADMINISTRATION, RO, E-2/167, Arera colony, Near Habibganj railway statio Bhopal (M.P) 462016

SUB-: Application for the permission for construction & use of approaches/access road for NOC for access permission to the proposed fuel station on NH-552G (Old SH-27) in Kmm.181.050, LHS at Village-Soyat kalan, Tehsil-Sunser, District- Agar Malwa, in State of Madhya Pradesh.

REF - I. Ro Bhopal, 41226, dated 03.12.2020. Il. PD,PIU-Ujjain letter no.1233 dated 01.10.2020. ll. HPCL, Bhopal letter no. HPCL/NH-552G(Old SH-27)/191/20 dated 04.09.2020. IV. PD,PIU-Ujjain letter no. NHAI/PIU/UJJAIN/NH-552G/OUTLET/2020 dated 20.07.2020. Vv. RO Bhopal. NHAI/RO-MP/UJN/ROL/NH-552G/Soyat Kalan/2020 dated 20.07.2020. Vi. PD.PIU-Ujjain letter no. NHAI/PIU/UJJAIN/NH-552G/Outlet/2020/1002 dated 03.07.2020.

Dear Sir,

Please refer to your letter cited under Ref (I) As per your letter, We are submitting

Khasra map showing distance of plot form center of road with dimension. Rs 20.000/-,for issuance of provisional Permission through Bharatkosh Portal {Transaction Ref - 0912200009924) 3. Rs 250,000/- of license fee through Bharatkosh Portal. (Transaction Ref - 1512200004697) BG for an amount of Rs 2,50,000/- through as per policy guideline dated 26.06.2020. Policy guidelines dated 26.06.2020.

Therefore, it is our Kind request to issue Provisional permission so we construct the RO at the earliest. THANKING YOU, YOURS TRULY. For Hindustan Petroleum Corporation Limited Enclose — (Receipt, BG and documents)

Authorized Signato) STCISR EF & ATUL KU SH * srt ConstitutedAttorney Ueiferrt wri. Hindustan Petroleurn Corpn. Limited

sank orindia BOM SOYATKALAN BRANCH PIDAWA ROAD, SOYATKALAN, TEH: - SUSNER, DIST-AGAR-MALWA (MADHYA PRADESH) PIN-465449 CONTACT NUMBER: - 07361-232020, 7567046916, 8005566335

Ref No: BOI/SK/MD/2020-21/201 : Dated: 14-12-2020

To, Regional Office, National Highways Authority Of India 5 Ministry Of Road Transport and Highways, Govt. Of India : E-2/167, Area Colony, Near Habibganj Railway Station, Bhopal, M.P.-462016 t Sub:- Bank Guarantee issued by us to Mr. Girdhar Gopal Somani in favour of the NHAI Regional Office , Bhopal Sir, With reference to your Letter_No-NHAI/RO-MP/UJJAIN/NH-552G/OUTLET/2020/41226 dated :- 03- 12-2020 we confirm that We have issued bank guarantee to Mr. Girdhra Gopal Somani in favour of the Regional Office NHAU,BHOPAL.

Details of this guarantee is given below:-

SR BANK GUARANTEE NO. | ISSUEDDATE | AMOUNT EXPIRY DATE NO.

1 9551IPEBG200009 14-12-2020 250000/- 13-03-2024

Thanks

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> HN WEA EL VIL A ART BHT TH HT 0.25 Wa SE24 AGREEMENT oe Ta a ut OMAN I USV/aRt SATYANAR ISN ER.

Digitally KUMAR signed DAN@E by Om RAJESH Date: 2020.12.09 41:25:24 IST

Page f of 1 910151091 22020000949

BANK GUARANTEE NO. 9551IPEBG200009 DATED 14th DEC, 2020

To, Regional Office, National Highways Authority of India Ministry of Road Transport and Highways, Govt. of India E-2/167, Arera Colony, Near Habibganj Railway Station, Bhopal, M.P. - 462016

Sir 1. In consideration of License for the use of National Highway Land/ Agreement to construct an approach/ access road in respect of Retail outlet of M/s Hindustan Petroleum Corporation Limited at NH-552G (Old SH-27) in Km 182, Ch. 181.050, LHS at Village- Soyat Kalan, Tehsil- Susner, District- Agar Malwa in State of Madhya Pradesh. We BANK OF INDIA, SOYATKALAN BRANCH, PIDAWA ROAD DISTT- AGAR MALWA-465449, Having its Head Office at Star House, Bandra Kurla Complex, C-5, G-Block, Bandra East, Mumbai-400021 (hereinafter reffered to as “Bank of India” or “Bank” or “Guarantor” Which term shall mean and include unless repugnant to the . context or meaning thereof, its successors and permitted assigns), hereby undertake to pay the principal an amount not exceeding Rs.250000/- (Rupees Two Lakh Fifty Thousand Only) against any loss or damage caused to or suffered or would be suffered by the principal, by reason of any breach of the terms or conditions contained in the said agreement.

We, BANK OF INDIA, SOYATKALAN BRANCH, PIDAWA ROAD DISTT- AGAR MALWA-465449, do hereby undertake to pay the amount due and payble under this guarantee without any demur, merely on a written demand stating that amount claimed is on account of non-compliance of any of the conditions of “in-principle” access permission granted by Ministry of Road Transport and Highways. However, our liability under this guarantee shall be restricted to Rs.2,50,000/- (Rupees Two Lakh Fifty Thousand Only). We undertake to pay the principal any money so demanded under this guarantee notwithstanding any dispute or disputes raised by Oil/Gas Companies/applicants/Property owners in any suit or proceeding pending before any court or tribunal relating there our liability under this present being absolute and unequivocal. The payment so made by us under this guarantee shall be valid discharge of our liability for payment there under and the Oil/Gas Companies / Applicants /Property owners shall have no claim against us for making such payments.

We, BANK OF INDIA, SOYATKALAN BRANCH, PIDAWA ROAD DISTT- AGAR MALWA-465449, further agree that the guarantee herein contained shall remain in full force and effect during the period would be taken for the performance of said agreement and that it shall be continued to be enforceable till all the dues of the principal under or by virtue of the said agreement have been fully paid and its claims satisfied or discharged and till the principal, certify that the terms and conditions of the said agreement have been fully and properly carried out by the said Oil/Gas/Companies /Applicants/Property Owners and accordingly discharges this guarantee or till 13.03.2024(Whichever is earlier, we shall be discharged from our liabilities under this guarantee thereafter.

The guarantee will not be discharged due to the change in the constitution of the bank or of the Oil/Gas Companies/Applicants/ Property Owners.

The Bank hereby confirms that it is on the SFMS (Structural Financial Messaging Systems) platform & Shall invariably send confirmation of this bank guarantee to the designated bank of Ministry of Road Transport & Highways as per the details given below;

Sr .No. | Particulars Details Name of Beneficiary National Highways Authority of India Name of Bank Canara Bank Account number 1471201001629 IFSC Code CNRBOOO 1471 Branch Name Arera Colony, Bhopal (M.P.)

6. This Guarantee shall be operatable at our BANK OF INDIA, SOYATKALAN BRANCH, PIDAWA ROAD DISTT- AGAR MALWA-465449 from whom, confirmation regarding the issue of the guarantee or extension renewal thereof if any, at bank’s option, shal be made available on written demand, in the contingency of this guarantee being invoked and payment there under claimed the said branch shall accept such invocation letter and make payment of amount so demanded under the said invocation.

7. This bank guarantee is valid until 13.03.2024

$ Notwithstanding anything contained hereinabove our liability under this guarantee is restricted Rs. 250000/- (Rupees Two Lakh Fifty Thousand Only) and shall be valid upto , 13.03.2024 and we are liable to pay the guaranteed amount or any part thereof under this guaranteed amount only and if you serve upon a claim or demand in writing on or before 13.03.2024

Please note that you may, if you so require, independently seek confirmation with BANK OF INDIA, SOYATKALAN BRANCH, PIDAWA ROAD DISTT- AGAR MALWA-465449, That this guarantee has been duly and validly issued.

Notwithstanding anything to the contrary contained herein, the liability of Bank of India Soyat Kalan, this guarantee is restricted to a maximum total amount of Rs.250000/- (Rupees Two lakh Fifty Thousand Only). Our guarantee shall remain in force util13.03.2024 Our Liability pursuant to this guarantee is conditional upon the receipt of a valid and duly executed written claim, in original, by BANK OF INDIA, SOYATKALAN BRANCH, PIDAWA ROAD DISTT- AGAR MALWA-465449, delivered by hand, courier oe registered post, prior to close of banking business hours on 13.03.2024 failing which all rights under this guarantee shall be forfeited and Bank of India Soyat Kalan, shall stand absolutely and unequivocally discharged of all of its obligation here under. This guarantee shall be governed by and construed in accordance with the laws of India and competent courts in the city of Bhopal shall have exclusive jurisdiction.

Kindly return the original of his guarantee to BANK OF INDIA, SOYATKALAN BRANCH, PIDAWA ROAD DISTT- AGAR MALWA-465449, upon the earlier of (ajits discharge by payment of claims aggregating to Rs.250000/- (Rupees Two Lakh Fifty Thousand Only) (b) fulfilment of the purpose for which this guarantee was issued, or (c)13.03.2024

All claims under this guarantee will be made payble at BANK OF INDIA, SOYATKALAN BRANCH, PIDAWA ROAD DISTT- AGAR MALWA -465449

saegen B ee ee SAT Oscleprzoy | oidiecxOT Wor Penk stiesiner oP. a \ Normal FOSIT RONFIBMATION /RENEWAL ADVICE PAN : AXFPS2381G : Date : 14-12-2020 MR. GIRDHAR GOPAL SOMANI SO SATYANARAYAN Customer I1D:023007789 SO SATYANARAYAN CHHTRI CHOWK SOYATKALAN Account No :955145110003407 TEH SUSNER DIST AGAR MALWA Deposit Type :DBD SOYAT KALAN (DIST. SS, MADHYA PRADESH - TOTAL. INTEREST: 58607 : MIC/QIC INT... 2 0 Repayable To : SELF : Nomination Regd : Yes

68-12-2020 | 48/0 |

In the GIRDHAR < > x : Authorised Signatories *kKMa tur is subject to change on account of pavinent of Tax Deducted at Sourte(TDS). ,wherever: applicable. ** *kPanalty clause is applicable for premature withdrawal of deposit. THANK YOU FOR YOUR CONTINUED PATRONAGE WITH OUR BANK

Dena Beales : TE ASA, H-5, Gh" seiies, Sel-

RECEIPT

Transaction Ref.No. 1512200004697 Dated: Dec 15 2020 2:18PM

Received from MR. HINDUSTAN PETROLEUM CORPORATION LIMITED with Transaction Ref.No. 1512200004697 Dated Dec 15 2020 2:18PM the sum of INR 250000 (Two Lakhs Fifty Thousand Only )_ through Internet based Online payment in the account of

Acess permission fees to fuel stations, , NH-552G OLD SH-27 CH.181.050 LHS VIL-SOYAT KALAN, AGAR MALWA. Disclaimer:- This is a system generated electronic receipt, hence no physical signature is required for the purpose of authentication Printed On: 15-12-2020 03:28:32

RECEIPT

Transaction Ref.No. 0912200009924 Dated: Dec 9 2020 6:23PM

Received from MR. HINDUSTAN PETROLEUM CORPORATION LIMITED with Transaction Ref.No.0912200009924 Dated Dec 92020 6:23PM the sum of INR 20000 (Twenty Thousand Only ) through Internet based Online payment in the account of

Acess permission fees to fuel stations, , NH-552G OLD SH-27 CH.181.050 LHS VIL-SOYAT KALAN, AGAR MALWA Disclaimer:- This is a system generated electronic receipt, hence no physical signature is required for the purpose of authentication Printed On: 09-12-2020 06:25:15